Langston Tyler Holly, MD | |
300 Medical Plz, #200, Los Angeles, CA 90095-0001 | |
(310) 825-5111 | |
Not Available |
Full Name | Langston Tyler Holly |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 29 Years |
Location | 300 Medical Plz, Los Angeles, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063437192 | NPI | - | NPPES |
00A625740 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | A62574 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Santa monica, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Regents Of The University Of California | 1355249491 | 44 |
Entity Name | The Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538125844 PECOS PAC ID: 1355249491 Enrollment ID: O20031226000291 |
Mailing Address | Practice Location Address |
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Langston Tyler Holly, MD 5767 W Century Blvd, # 400, Los Angeles, CA 90045-5631 Ph: (310) 825-5111 | Langston Tyler Holly, MD 300 Medical Plz, #200, Los Angeles, CA 90095-0001 Ph: (310) 825-5111 |
Dr. Eisha Anne Christian, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1200 N State St, Suite 3300, Los Angeles, CA 90089 Phone: 323-226-7421 Fax: 323-226-7833 | |
Ben Strickland, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1200 N State Street, Suite 3300, Los Angeles, CA 90033 Phone: 803-312-4871 Fax: 323-226-7421 | |
Dr. Tiffany Grace Perry, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 127 S San Vicente Blvd Ste A6600, Los Angeles, CA 90048 Phone: 310-423-7900 Fax: 310-423-9124 | |
Jonathan Sisti, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1520 San Pablo St Ste 3800, Los Angeles, CA 90033 Phone: 323-442-5720 | |
Dr. Julian Antony Mattiello, M.D., PH.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 8635 W 3rd St, Suite 1080 West, Los Angeles, CA 90048 Phone: 310-423-9900 | |
Dr. Vivek Mehta, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, Suite 3300, Los Angeles, CA 90033 Phone: 323-226-7421 | |
Dr. John Yu, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd., Los Angeles, CA 90048 Phone: 310-423-7900 Fax: 310-423-0777 |